Hostname: page-component-78c5997874-8bhkd Total loading time: 0 Render date: 2024-11-19T12:42:13.426Z Has data issue: false hasContentIssue false

Dietary iron deficiency and sports anaemia

Published online by Cambridge University Press:  09 March 2007

Lindsay M. Weight
Affiliation:
Department of Haematology and Leukaemia Centre, and the UCT/MRC Bioenergetics of Exercise Research Unit, University of Cape Town Medical School and Groote Schuur Hospital, Observatory, Cape Town, South Africa
Peter Jacobs
Affiliation:
Department of Haematology and Leukaemia Centre, and the UCT/MRC Bioenergetics of Exercise Research Unit, University of Cape Town Medical School and Groote Schuur Hospital, Observatory, Cape Town, South Africa
Timothy D. Noakes
Affiliation:
Department of Haematology and Leukaemia Centre, and the UCT/MRC Bioenergetics of Exercise Research Unit, University of Cape Town Medical School and Groote Schuur Hospital, Observatory, Cape Town, South Africa
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

In order to determine whether dietary inadequacies can explain the sub-optimal iron status widely documented in endurance-trained athletes, the food intake records of Fe-deficient and Fe-replete distance runners and non-exercising controls of both sexes were analysed. In all the male study groups the mean dietary Fe intake met the recommended dietary allowances (RDA; > 10 mg/d (US) Food and Nutrition Board, 1989). However, both female athletes and controls failed to meet the RDA with regard to Fe (< 15 mg/d) and folate (< 200 μg/d). There was no difference in the total Fe intakes of Fe-deficient and Fe-replete athletes and the controls of each sex. However, Fe-deficient male runners, but not female runners, consumed significantly less haem-Fe (P = 0.048) than their comparative groups. This suggests that the habitual consumption of Fe-poor diets is a factor in the aetiology of athletes' Fe deficiency.

Type
Mineral Metabolism
Copyright
Copyright © The Nutrition Society 1992

References

REFERENCES

Addison, G. M., Beamish, M. R., Hales, C. N., Hodgkins, M., Jacobs, A. & Llewellin, P. (1972). An immunoradiometric assay for ferritin in the serum of normal subjects and patients with iron deficiency and iron overload. Journal of Clinical Pathology 25, 326329.CrossRefGoogle ScholarPubMed
Brune, M., Magnusson, B., Persson, H. & Hallberg, L. (1984). Iron losses in sweat. American Journal of Clinical Nutrition 101, 127128.Google Scholar
Buskirk, E. R. (1977). Diet and athletic performance. Postgraduate Medicine 61, 229236.CrossRefGoogle ScholarPubMed
Cary, N. C. (ed.). SAS Users Guide: Statistics. Version 5. Los Angeles: BMDP Statistical Services Inc.Google Scholar
Clement, D. B. & Asmundsen, R. C. (1982). Nutritional intake and hematological parameters in endurance runners. Physician and Sports Medicine 10, 3743.CrossRefGoogle ScholarPubMed
Colt, E. & Heyman, B. (1984). Low ferritin levels in runners. Journal of Sports Medicine 24, 1317.Google ScholarPubMed
Cook, J. D., Skikne, B. S., Lynch, S. R. & Reusser, M. E. (1976). Estimates of iron deficiency in the US population. Blood 68, 726731.CrossRefGoogle Scholar
Dallman, P. R., Yip, R. & Johnson, C. (1984). Prevalence and causes of anaemia in the United States 1976–1980. American Journal of Clinical Nutrition 39, 436445.Google Scholar
Deuster, P. A., Kyle, S. B., Moser, P. B., Vigersky, R. A., Singh, A. & Schoomaker, E. B. (1986). Nutritional intakes and status of highly-trained amenorrheic and eumenorrheic women runners. Fertility and Sterility 46, 636643.CrossRefGoogle ScholarPubMed
Dickson, D. N., Wilkinson, R. L. & Noakes, T. D. (1982). Effects of ultra-marathon training and racing on hematologic parameters and serum ferritin levels in well-trained athletes. International Journal of Sports Medicine 3, 111117.CrossRefGoogle ScholarPubMed
Fisher, R. L., McMahon, L. F., Ryan, M. J., Larson, D. & Brand, M. (1986). Gastrointestinal bleeding in competitive runners. Digestive Diseases and Sciences 31, 12261228.CrossRefGoogle ScholarPubMed
Floro Diet Programme (1987). Floro Diet Data Programme, version SA030. Vlaardingen, Netherlands: Unilever Research Laboratories.Google Scholar
Food and Nutrition Board (1989). Recommended Dietary Allowances, 10th revised ed. Washington: National Academy of Sciences.Google Scholar
Gouws, E. & Langenhoven, M. L. (1981). NRIND Food Composition Tables. Parow: Medical Research Council of South Africa.Google Scholar
Hegenauer, J., Strauss, L., Saltman, P., Dann, D., White, J. & Green, R. (1983). Transitory haematological effects of moderate exercise are not influenced by iron supplementation. European Journal of Applied Physiology 52, 5761.CrossRefGoogle Scholar
Lampe, J. W., Slavin, J. L. & Apple, F. S. (1986). Poor iron status of women training for a marathon. International Journal of Sports Medicine 7, 111114.CrossRefGoogle ScholarPubMed
Magnusson, B., Hallberg, L., Rossander, L. & Swolin, B. (1984 a). Iron metabolism and ‘sports anaemia’. I. A study of several iron parameters in elite athletes with differences in iron status. Acta Medica Scandinavica 216, 149156.CrossRefGoogle Scholar
Magnusson, B., Hallberg, L., Rossander, L. & Swolin, B. (1984 b). Iron metabolism and ‘sports anaemia’. II. A haematologic comparison of elite runners and control subjects. Acta Medica Scandinavica 216, 157164.CrossRefGoogle Scholar
Matter, M., Stitfall, T., Graves, J., Myburgh, K., Adams, B., Jacobs, P. & Noakes, T. D. (1987). The effect of iron and folate therapy on maximal exercise performance in female marathon runners with iron and folate deficiency. Clinical Science 72, 415422.CrossRefGoogle Scholar
Miles, C. W., Collins, J. S., Holbrook, J. T., Patterson, K. Y. & Bodwell, C. E. (1984). Iron intake and status of men and women on self-selected diets. American Journal of Clinical Nutrition 40, 13931396.CrossRefGoogle ScholarPubMed
Monson, E. R., Hallberg, L., Layrisse, M., Hegsted, D. M., Cook, J. D., Mertz, W. & Finch, C. A. (1978). Estimation of available dietary iron. American Journal of Clinical Nutrition 31, 134141.CrossRefGoogle Scholar
Mulligan, K. & Butterfield, G. E. (1990). Discrepencies between energy intake and expenditure in physically active women. British Journal of Nutrition 64, 2336.CrossRefGoogle Scholar
Nieman, D. C., Butler, J. V., Pollett, L. M., Dietrich, S. J. & Lutz, R. D. (1989). Nutrient intake of marathon runners. Journal of the American Dietetic Association 89, 12731278.CrossRefGoogle ScholarPubMed
Risser, W. L., Lee, E. J., Poindexter, H. B. W., West, M. S., Pivarnik, J. M., Risser, J. M. H. & Hickson, J. F. (1988). Iron deficiency in female athletes; its prevalence and impact on sports performance. Medicine and Science in Sports and Exercise 20, 116121.CrossRefGoogle Scholar
Rowan, R. M., Fraser, C., Gray, J. H. & McDonald, G. A. (1979). The Coulter Counter Model S Plus – the shape of things to come. Clinical and Laboratory Haematology 1, 2940.CrossRefGoogle Scholar
Shiraki, K., Yamada, T. & Yoshimura, H. (1977). Relation of protein nutrition to the reduction of red blood cells induced during physical training. Japanese Journal of Physiology 27, 413421.Google Scholar
Stewart, J. G., Ahlquist, D., McGill, D. B., Ilstrup, D. M. & Schwartz, S. (1984). Gastrointestinal blood loss and anaemia in runners. Annals of Internal Medicine 100, 843845.CrossRefGoogle ScholarPubMed
Snyder, A. C., Dvorak, L. L. & Roepke, J. B. (1989). Influence of dietary iron source on measures of iron status among female runners. Medicine and Science in Sport and Exercise 21, 710.CrossRefGoogle ScholarPubMed
Weight, L. M., Noakes, T. D., Labadarios, D., Graves, J., Jacobs, P. & Berman, P. (1988). Vitamin and mineral status of trained athletes including the effects of supplementation. American Journal of Clinical Nutrition 47, 186191.CrossRefGoogle ScholarPubMed
Yoshimura, H. (1970). Anaemia during physical training (sports anaemia), Nutrition Reviews 28, 251253.CrossRefGoogle Scholar